In 2011 the Australian Government introduced mandatory CPD requirements for all allied mental health professionals delivering services under the Better Access initiative, including psychologists, social workers and occupational therapists. The mandatory CPD is a requirement of maintaining Medicare provider status.
Mandatory CPD requirements are now applicable to psychologists providing Focused Psychological Strategy (FPS) items. Psychologists providing clinical psychology Medicare items are already required to meet CPD requirements to maintain Medicare provider status, and these requirements are those to maintain eligibility for the APS College of Clinical Psychologists.
The CPD requirements are designed to ensure that government funding for the Better Access initiative supports best practice standards. The requirements provide a quality assurance mechanism that Commonwealth-funded mental health services are delivered by practitioners who have maintained their skills and knowledge base.
10 hours of FPS-related CPD activities per annual cycle must be undertaken to maintain Medicare provider status. These hours can be counted towards meeting the annual mandatory CPD requirements for national registration. This is an Australian Government requirement so please note that the annual cycle for this measure aligns with the financial year, meaning the cycle ends on 30 June each year. All FPS-related CPD must be undertaken by 30 June each year in order to meet the mandatory requirements.
FPS-related CPD activities are those that enhance the skills required to deliver FPS treatments allowable under the Better Access initiative, or the skills required to undertake a full assessment of clients to form a diagnosis and commence treatment planning.
CPD activities undertaken need to enhance the skills required to deliver the FPS treatments allowable under the Better Access initiative (as listed in the Medicare Benefits Schedule), which are:
In addition to the skills to effectively deliver FPS treatments, practitioners also require skills to undertake a full assessment of the client to form a diagnosis and commence treatment planning. Relevant training in psychopathology can therefore be counted towards the CPD requirements. CPD activities can also include training in different modalities and delivery such as working with groups.
CPD activities do not need to be formally approved but the relevance to delivering FPS Medicare items must be able to be justified in the event of an audit.
Acceptable CPD activities where the content is related to FPS can include formal postgraduate education, workshops, seminars, lectures, journal reading, writing papers, receipt of supervision and peer consultation, and online training programs.
The first annual cycle for FPS provider CPD requirements closed on 30 June 2011. The FPS CPD requirements for that cycle were applicable from the time the psychologist is registered with Medicare Australia or from 1 July 2009, whichever is the later.
Subsequent cycles will run from 1 July to 30 June each year. The 10 hours of FPS-related CPD is an ongoing annual requirement.
Part-time FPS providers are required to meet the same CPD requirements as full-time FPS providers (10 hours per annual cycle).
Psychologists who gain their Medicare Provider number with Medicare Australia part-way through the course of a Medicare CPD cycle will have their CPD requirement adjusted on a pro rata basis. The amount of CPD will be calculated from the 1st of the month immediately after the month the psychologist first obtained his or her Medicare Provider number. The CPD requirement will be one-twelfth of the yearly requirement for each month.
The Australian Government Department of Health and Ageing had previously contracted the relevant professional organisations to monitor compliance with the Medicare CPD requirements. For psychologists, the APS was contracted to undertake this monitoring, but as of 17 May 2011 this monitoring arrangement has been altered due to constraints associated with legislation. The new CPD requirements for FPS providers will now be monitored by Medicare Australia.
Psychologists must keep a record of the required Medicare CPD activities and provide this if requested for audit purposes. Records of CPD activities must be retained for two years. The Department of Health and Ageing has advised that further information on the audit process will be provided to Medicare FPS providers prior to the commencement of audits.
Psychologists who are audited and found to have not complied with the CPD requirements for FPS providers will lose their Medicare billing rights to provide FPS items. A reconsideration mechanism will allow providers to request either a further 28 days to complete the 10 hours of FPS CPD or apply for internal review of a decision that the provider has not achieved the required FPS CPD.
Psychologists can have their FPS provider status reinstated once they meet the FPS-related CPD requirements for the previous cycle (total of 10 hours). They will still be required to meet the full requirements for the new cycle by the end of that cycle.
16 hours of clinical psychology-related CPD activities per annual cycle must be undertaken by psychologists to maintain Medicare provider status. These are the same requirements as those to maintain eligibility for membership of the APS College of Clinical Psychologists and PBA area of practice endorsement in clinical psychology. These hours can be counted towards the annual mandatory PBA and APS CPD requirements.
The annual cycle for this requirement is the PBA and APS annual cycle, which ends each year on 30 November.
Providers will have two months after the close of the annual cycle (30 November each year) to log their CPD. After that time the APS will notify Medicare Australia of those providers who have met the clinical psychology-related CPD requirements. All CPD activities must be logged with the APS using the online logging system (see Logging Medicare CPD activities).
Providers who are removed from the approved provider list by Medicare Australia can be placed back on the list once they meet CPD requirements for the previous cycle (16 hours) and log these with the APS. This must be done within three months of being removed. Providers will still be required to meet the full requirements for the new cycle by the end of that cycle.
Clinical psychology-related activities are those that enhance the specialist clinical psychology skills. Specialist clinical psychology CPD activities do not need to be formally approved, but the relevance to the specialist area of must be able to be justified in the event of an audit.
Acceptable CPD activities where the content is related to clinical psychology can include formal postgraduate education, workshops, seminars, lectures, journal reading, writing papers, receipt of supervision and peer consultation, and online training programs. Proof of participation in CPD activities (for example, receipts, participation certificates) must be retained and will be required to be submitted if the psychologist is audited. Psychologists who are selected for an audit will also be required to justify how the CPD activities undertaken are specialist clinical psychology in nature.